Provider Demographics
NPI:1700010204
Name:CHALLENGE BEHAVIORAL HEALTHCARE, INC.
Entity Type:Organization
Organization Name:CHALLENGE BEHAVIORAL HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:M
Authorized Official - Last Name:KELLING
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:630-325-8252
Mailing Address - Street 1:15 SPINNING WHEEL RD
Mailing Address - Street 2:STE. #420
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-2914
Mailing Address - Country:US
Mailing Address - Phone:630-325-8252
Mailing Address - Fax:630-325-7584
Practice Address - Street 1:15 SPINNING WHEEL RD
Practice Address - Street 2:STE. #420
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-2914
Practice Address - Country:US
Practice Address - Phone:630-325-8252
Practice Address - Fax:630-325-7584
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-12
Last Update Date:2009-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty